Healthcare Provider Details

I. General information

NPI: 1750484689
Provider Name (Legal Business Name): SPIRIT OF 76 VOLUNTEER FIRE DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53890 KEY BELLAIRE RD
BELLAIRE OH
43906-9479
US

IV. Provider business mailing address

53890 KEY BELLAIRE RD
BELLAIRE OH
43906-9479
US

V. Phone/Fax

Practice location:
  • Phone: 740-676-1551
  • Fax: 740-676-1608
Mailing address:
  • Phone: 740-676-1551
  • Fax: 740-676-1608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateOH

VIII. Authorized Official

Name: ZACHARY T COFFIELD
Title or Position: CHIEF
Credential:
Phone: 740-671-5607